This week, Aebhric O’Kelly is joined by Antonio from European Medics to discuss his first experience attending the Special Operations Medical Association Symposium, the growing importance of Medical Support to Irregular Warfare (MSIW), and how civilian and military healthcare systems must integrate to prepare for future conflicts and disasters. Antonio reflects on lessons from occupied Poland, resistance medicine, Ukrainian battlefield realities, and the importance of resilience, logistics, telemedicine, and improvised medicine in modern austere healthcare systems. Chapters00:00 Introduction and Antonio’s background01:10 First experience attending SOMA03:10 “People over products” in tactical medicine04:30 Civilian involvement in special operations medicine06:50 Key lessons from the MSIW track09:45 What is Medical Support to Irregular Warfare (MSIW)?11:10 Historical resistance medicine in Poland and the Baltics15:00 Underground clinics and covert evacuation chains17:30 Telemedicine in resistance healthcare18:30 How civilian medics can prepare for MSIW21:00 TCCC, JTS CPGs, and tactical medicine education22:00 European Medics Tactical Clinical Operations (TCO) course23:30 Taiwan, resilience, and whole-of-society defence26:20 Logistics and manufacturing challenges in conflict28:40 Relationship building and NATO interoperability29:10 3D printing and improvised medicine31:20 Antonio’s passion for guerrilla medicine34:00 Future plans: anaesthesia, ICU, and flight medicine35:10 Advice for new medics entering austere medicine37:00 Closing remarksEpisode HighlightsFirst impressions from the SOMA SymposiumWhy “people over products” matters in tactical medicineCivilian-military integration in modern conflictWhat MSIW (Medical Support to Irregular Warfare) actually meansHistorical resistance medicine in Poland and the BalticsLessons from Ukraine and occupied territoriesUnderground clinics and covert casualty evacuationTelemedicine and distributed healthcare networksWhy civilian clinicians should learn TCCCLogistics, supply chains, and local manufacturing during war3D printing and improvised medical equipmentThe future of European resilience medicineAdvice for new medics entering austere medicine

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